| Michael Harris, MD | |
|
200 Health Care Dr, Greenville, IL 62246-1154 | |
| (618) 664-1230 | |
| Not Available |
| Full Name | Michael Harris |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 200 Health Care Dr, Greenville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083716476 | NPI | - | NPPES |
| 036073471 | Medicaid | IL | |
| 0031603775 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 036073471 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 036073471 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital | Highland, IL | Hospital |
| St Josephs Hospital | Breese, IL | Hospital |
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America-illinois Hospitalists, Llp | 3274765904 | 132 |
| Entity Name | Cep America-illinois Hospitalists, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Harris, MD 2525 S Michigan Ave, Chicago, IL 60616-2315 Ph: (312) 567-2000 | Michael Harris, MD 200 Health Care Dr, Greenville, IL 62246-1154 Ph: (618) 664-1230 |
Asim Elmahboub, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 | |
Ryan L Jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Health Care Dr, Greenville, IL 62246 Phone: 618-664-1230 |